Received 23 December 2009; accepted 2 January 2010. published online 11 January 2010.
Abstract
An 82-year-old patient developed right heart failure in the days after surgical aortic valve replacement. Coronary CT angiography showed a high-grade stenosis of the mid-right coronary artery. Adjacent suture material seen on noncontrast CT suggested that the lesion was related to surgical closure of the right atrial cannulation site. Invasive angiography confirmed the stenosis, and percutaneous intervention was successfully performed.
aDepartment of Cardiology, University of Erlangen-Nürnberg, Ulmenweg 18, 91054 Erlangen, Germany
bDepartment of Cardiac Surgery, University of Erlangen-Nürnberg, Germany
Corresponding author.
Conflict of interest: The authors report no conflicts of interest. Dr Achenbach is supported by Bundesministerium für Bildung und Forschung (grant BMBF 01 EV 0708), Bonn, Germany.